2025-2026 RN FUNDAMENTALS HESI EXIT EXAM LATEST
UPDATE WITH 100Qs&As WITH RATIONALES|ALREADY
GRADED A+|BRAND NEW|100% VERIFIED
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think
my 4-month-old baby is choking!" What steps will the nurse take? (Select all that apply.)
Note any obstruction or absence of
Deliver five backslaps between the shoulder blades.
Place the infant over the nurse's arm.
The nurse selects the best site for insertion of an IV catheter in the client's right arm. Which
documentation should the nurse use to identify placement of the IV access?
Right cephalic vein
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion devise for
an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is taking po fluids well.
What supplies will the nurse take into the room for this procedure? (Select all that apply.)
Normal saline in a 10 mL syringe
Clear plastic sterile bandage
Skin preparation antiseptic swab
The nurse is teaching a group of young adults with families about preparing their underground
shelter in the event of a tornado. What instructions will the nurse include in teaching plan for
these families? (Select all that apply.)
Plan for 1 gallon of water per family member for at least 3 days.
Don't forget a can opener with the supply of canned food.
Make sure you include a first aid kit in the shelter.
Pack shoes with sturdy soles and they must completely cover the feet.
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the
greatest threat for complications to occur during surgery?
Taking anticoagulants for the past year
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of
my weight." Which is the best response by the nurse?
Ask the client to talk about specific concerns.
,A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
Compare the current reading with the client's previously documented blood pressure readings.
At hand-off report the off going nurse reports a new 1000 mL IV bag of D5LR was hung at 1845.
The prescribed infusion rate is 75 mL/hr. The oncoming nurse assesses the client at 1915 and
notes there is less than 50 mL left in the IV bag. What is the nurse's next action?
Auscultate the client's lungs.
The nurse is concerned the client will develop a nosocomial infection. Which nursing action is
best for the nurse to take when providing care for an incontinent client?
Maintain standard precautions.
A community hospital is opening a mental health services department. Which document should
the nurse use to develop the unit's nursing guidelines?
ANA's Scope and Standards of Nursing Practice
The nurse transcribes the postoperative prescriptions for a client who returns to the unit
following surgery and notes that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse take?
Contact the health care provider to renew the prescription for the medication.
After the nurse tells an older client that an IV line needs to be inserted, the client becomes very
apprehensive, loudly verbalizing a dislike for all health care providers and nurses. How should
the nurse respond?
Calmly reassure the client that the discomfort will be temporary.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
Retract the foreskin gently to cleanse the penis.
The nurse is preparing to administer a new medication through an existing IV line containing a
vasopressor. What action must the nurse take first?
Flush the line with normal saline at the same rate as the vasopressor.
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7 to 10. The nurse
reviews the medication orders and it is another hour before the client can have another dose of
pain medication. What actions can the nurse take to assist the client? (Select all that apply.)
, Assist the client into side-lying, curled position.
Obtain a warm pack to apply to the site of the incision.
Suggest to the client taking 10 deep breaths, in through the nose and out through the mouth.
Help the client with sustained concentration of a personally pleasant topic.
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and
alert. Which nursing actions are correct? (Select all that apply.)
Place the client in a high Fowler position.
Instruct the client to swallow after the tube has passed the pharynx.
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.)
A 1 mL syringe
Alcohol prep pads
A 24-gauge ¾″ needle
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
Inform the surgeon the client has questions about the surgery
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is
the first time the client has voided in 4 hours. Which action should the nurse take next?
Record the amount on the client's fluid output record
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week?
Sodium
An older adult who recently began self-administration of insulin calls the nurse daily to review
the steps that should be taken when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client safely administered the
injections. What is the nurse's best response?
"When I watched you give yourself the injection, you did it correctly."
UPDATE WITH 100Qs&As WITH RATIONALES|ALREADY
GRADED A+|BRAND NEW|100% VERIFIED
The nurse is called to the waiting room of a pediatric clinic. The frantic mother states, "I think
my 4-month-old baby is choking!" What steps will the nurse take? (Select all that apply.)
Note any obstruction or absence of
Deliver five backslaps between the shoulder blades.
Place the infant over the nurse's arm.
The nurse selects the best site for insertion of an IV catheter in the client's right arm. Which
documentation should the nurse use to identify placement of the IV access?
Right cephalic vein
The nurse is preparing to insert an IV, and cap off the IV with an intermittent infusion devise for
an 80-year-old who is prescribed IV antibiotics every 8 hours. The client is taking po fluids well.
What supplies will the nurse take into the room for this procedure? (Select all that apply.)
Normal saline in a 10 mL syringe
Clear plastic sterile bandage
Skin preparation antiseptic swab
The nurse is teaching a group of young adults with families about preparing their underground
shelter in the event of a tornado. What instructions will the nurse include in teaching plan for
these families? (Select all that apply.)
Plan for 1 gallon of water per family member for at least 3 days.
Don't forget a can opener with the supply of canned food.
Make sure you include a first aid kit in the shelter.
Pack shoes with sturdy soles and they must completely cover the feet.
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the
greatest threat for complications to occur during surgery?
Taking anticoagulants for the past year
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of
my weight." Which is the best response by the nurse?
Ask the client to talk about specific concerns.
,A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
Compare the current reading with the client's previously documented blood pressure readings.
At hand-off report the off going nurse reports a new 1000 mL IV bag of D5LR was hung at 1845.
The prescribed infusion rate is 75 mL/hr. The oncoming nurse assesses the client at 1915 and
notes there is less than 50 mL left in the IV bag. What is the nurse's next action?
Auscultate the client's lungs.
The nurse is concerned the client will develop a nosocomial infection. Which nursing action is
best for the nurse to take when providing care for an incontinent client?
Maintain standard precautions.
A community hospital is opening a mental health services department. Which document should
the nurse use to develop the unit's nursing guidelines?
ANA's Scope and Standards of Nursing Practice
The nurse transcribes the postoperative prescriptions for a client who returns to the unit
following surgery and notes that an antihypertensive medication that was prescribed
preoperatively is not listed. Which action should the nurse take?
Contact the health care provider to renew the prescription for the medication.
After the nurse tells an older client that an IV line needs to be inserted, the client becomes very
apprehensive, loudly verbalizing a dislike for all health care providers and nurses. How should
the nurse respond?
Calmly reassure the client that the discomfort will be temporary.
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
Retract the foreskin gently to cleanse the penis.
The nurse is preparing to administer a new medication through an existing IV line containing a
vasopressor. What action must the nurse take first?
Flush the line with normal saline at the same rate as the vasopressor.
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7 to 10. The nurse
reviews the medication orders and it is another hour before the client can have another dose of
pain medication. What actions can the nurse take to assist the client? (Select all that apply.)
, Assist the client into side-lying, curled position.
Obtain a warm pack to apply to the site of the incision.
Suggest to the client taking 10 deep breaths, in through the nose and out through the mouth.
Help the client with sustained concentration of a personally pleasant topic.
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and
alert. Which nursing actions are correct? (Select all that apply.)
Place the client in a high Fowler position.
Instruct the client to swallow after the tube has passed the pharynx.
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.)
A 1 mL syringe
Alcohol prep pads
A 24-gauge ¾″ needle
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
Inform the surgeon the client has questions about the surgery
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is
the first time the client has voided in 4 hours. Which action should the nurse take next?
Record the amount on the client's fluid output record
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week?
Sodium
An older adult who recently began self-administration of insulin calls the nurse daily to review
the steps that should be taken when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client safely administered the
injections. What is the nurse's best response?
"When I watched you give yourself the injection, you did it correctly."
